Access Services - Options Counseling

Options strives to create an environment in which people of color do not experience racism or prejudice. Read More

Access Services

Complete the Form Below & We’ll be in Touch Shortly

"*" indicates required fields

Name*

First Name Last Name

Phone Number*

Client Date of Birth

Email*

Preferred Location*

Insurance Provider*

How Can We Help?

Are you new to Options?*

No

Yes

Permission to Contact*

By checking this box, I agree to be contacted by Options at the contact information I provided above.

Administrative Office

360 E 10th Ave Ste 450
Eugene, OR 97401

(541) 687-6983

(541) 762-1571 (Fax)

Records Request

(541) 320-9009 (Fax)